Healthcare Provider Details

I. General information

NPI: 1659235687
Provider Name (Legal Business Name): JAMETRA FRANK
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 RAYFORD RD
SPRING TX
77386-4343
US

IV. Provider business mailing address

529 BARKER CLODINE RD
HOUSTON TX
77094-1447
US

V. Phone/Fax

Practice location:
  • Phone: 281-729-0748
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15579
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: